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Ampicillin Injection

Idaho rates for HCPCS J0290

Injection, ampicillin sodium, 500 mg

Rates data updated July 2026.

Facilitymedian $2 · 10th–90th $1$220%10%10th90th$2Professionalmedian $1 · 10th–90th $1$10%20%10th90th$1$1.0$2.0$5.0$10.0$20.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$0.65
Median
$6.31
Typical High
$43.65
Aetna
Setting
Professional
Modifier
Global
Typical Low
$0.65
Median
$0.71
Typical High
$0.79
BCBS
Setting
Facility
Modifier
Global
Typical Low
$1.35
Median
$3.02
Typical High
$4.27
BCBS
Setting
Professional
Modifier
Global
Typical Low
$0.78
Median
$1.02
Typical High
$26.92
Cigna
Setting
Facility
Modifier
Global
Typical Low
$0.71
Median
$0.72
Typical High
$1.62
Cigna
Setting
Professional
Modifier
Global
Typical Low
$0.65
Median
$0.65
Typical High
$0.65
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$0.65
Median
$0.65
Typical High
$0.83
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$0.65
Median
$0.71
Typical High
$2.69
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$0.78
Median
$0.78
Typical High
$0.79
Select Health
Setting
Facility
Modifier
Global
Typical Low
$0.65
Median
$0.65
Typical High
$2.19
Select Health
Setting
Professional
Modifier
Global
Typical Low
$0.65
Median
$0.65
Typical High
$0.65
United
Setting
Professional
Modifier
Global
Typical Low
$0.59
Median
$0.59
Typical High
$0.93